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Final Flashcards

1
Q

What form of pulp testing is reliable in primary teeth?

A

Percussion

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2
Q

What x-rays are used for pulp therapy post-operative assessment?

A
  • BWs every 6 months, if interraducular area can be seen.
  • PA’s or Occlusal’s if you can’t see the furcation area
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3
Q

What x-rays are used for pulpotomy post-operative assessment?

A

At least annually

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4
Q

What x-rays are used for pulpectomy assessment?

A

PA immediately

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5
Q

How often are x-rays used for assessment of immature permanent teeth?

A

6-12 months after treatment and then at clinician discretion

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6
Q

If there is a pinpoint exposure in primary dentition we have to do what tx?

A

Pulpotomy

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7
Q

What is used in a pulpotomy after you remove the pulp chamber and stop the bleeding?

A

Ferric Sulfate (coagulant) or FMC

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8
Q

What is the application time for placing FMC (fixative)?

A

4 min

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9
Q

What is the application time for placing Ferric Sulfate (coagulant)?

A

15 seconds

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10
Q

What is the application time for placing Sodium hypochlorite (anti-bacterial)?

A

15 seconds

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11
Q

Is Indirect pulp treatment (IPT) or pulpotomy better to do on primary teeth?

A

IPT

  • Remove all the decay from walls and leave decay below
  • Place material to make infected dentin into reparative (secondary) dentin
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12
Q

What RO liner is used in IPT?

A

GIC

will stop the progression of caries because of seal

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13
Q

What procedure is performed when there is an exposure of pulp from trauma or iatrogenic mistake, in primary dentition?

A

Direct Pulp Capping (DPC)

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14
Q

What procedure is performed when there is an exposure of pulp fromdecay removal in permanent dentition?

A

DPC

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15
Q

What is the DPC material of choice for permanent and primary dentition?

A

Mineral Trioxide Aggregate (MTA)

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16
Q

When is Ca(OH) okay to be used?

A

In permanent dentition if doing a pulpotomy

Not recommended in primary dentition with carious exposure because it could lead to necrosis

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17
Q

What pulpotomy material is equal to or better than FMC or FS, and the preferred agent in the future?

A

MTA

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18
Q

Removing portion of the pulp (chamber)

A

Pulpotomy

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19
Q

Removing pulp chamber and root canal system

A

Pulpectomy

20
Q

What material can be used in a pulpotomy but not a pulpectomy?

A

IRM, because it doesn’t resorb

21
Q

What are acceptable materials for pulpectomy and root filling in primary dentition?

A
  • Calcium Hydroxide (Vitapex)
  • ZOE
  • Iodoform Paste (KRI)
  • Must be resorbable
22
Q

What are contraindications of a pulpectomy in primary dentition?

A
  • Tooth not restorable
  • Advanced internal or external resoprtion
  • < 2/3s of the primary root structure remaining
  • Periapical infection involving the crypt of the succedaneous tooth
23
Q

Why apexogenesis?

A

IPT - Continue the formation of the root with a vital pulp

24
Q

In the vital pulp therapy (IPT) of young permanent dentition what is the most common material?

25
In the vital pulp therapy (DPC) of young permanent dentition what is the most common material?
MTA
26
What is the objective of pulpal revascularization?
* Apical portion of the pulp is still vital * Encourage this vital tissue to migrate coronally
27
What is in the triple antibiotic paste used in pulpal revascularization?
1. Ciprofloxacin 2. Metronidazole 3. Minocyclin/cefaclor
28
What is a childs way of understanding from birth to 2 years old?
Sensorimotor - direct sensations
29
What is a childs way of understanding from age 2-6 years?
Preoperational - own perceptions
30
What is a childs way of understanding from 6-11 years?
Concrete operations - reason using stable rule system
31
What is a childs way of understanding at age 12 or older?
Formal operations - abstract though, can reason about ideas
32
What are the common fear ages?
* 1-2 years * 3-4 years * 5 years * 6-8 years
33
Most frequent child coping behavior
distraction
34
What is the most important contributor to perception of fear?
Child's perception of the dentist
35
What are the 3 basic behavior guidance techniques?
* Communicative * Distraction * Tell-Show-Do * Non-verbal * Positive Reinforcement * Voice Control * Parental Presence/Absence * **Nitrous Oxide**
36
What are the 3 advanced behavior guidance techniques?
* Protective Stabilization * Sedation * General Anesthesia
37
At what age is **contingent distraction**"you can watch the videogame as long as you are cooperative", most effective in?
3-9 years old
38
What is a contraindication to Nitrous Oxide?
Chronic obstructive pulmonary disease
39
When should you get a medical consultation with nitrous oxide?
* Acute Oitis Media * Severe Asthma * Sickle Cell Disease - has been shown to cause neuropathy * Bleomycin slfate therapy (anti-neoplastic antibiotic) * oxygen admin can lead to interstitial pneumonitis which can be fatal
40
Titrate nitrous oxide to maximum of ...
50%
41
What do you document with the admin of nitrous oxide?
* % of NO used * Duration of procedure * Post-tx oxygenation * Pt response to nitrous
42
What must be documented with advanced behaviour guidance?
* Consent * Type of stabilization used and why * Length of time stabilization used for patient * Effectiveness of stabilization
43
What is the photochemical use of a laser in perio and endo?
Canal decontamination * breaking chemical bonds, can produce a singlet oxygen radical for disinfection of periodontal pockets and endodontic canals
44
What is the significance of Fluoresce of a laser?
Diagnodent - to check remineralization - NOT TO TREAT Early diagnose 500 microns demineralization
45
Laser energy in hard dental tissues can produce a shock wave, process called?
spallation
46
What is the desirable effect of lasers on tissue?
Absorption

Pedo II (3 decks)

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